KAREN L WILSON


Address: 3811 Valley Centre Dr, San Diego, CA 92130
Phone: 8587643030

KAREN L WILSON (NPI# 1851390025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851390025
Entity Type Individual
Full Name KAREN L WILSON
Credential M.D.
Practice Address 3811 Valley Centre Dr
San Diego
CA 92130
Mailing Address 3811 Valley Centre Dr
San Diego
CA 92130-3318
Practice Telephone 8587643030
Mailing Telephone 8587643030
Enumeration Date 2005-07-19
Last Update Date 2018-09-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
036103153 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036103153 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1030 N Clark St, Suite 400, Chicago, IL 606105467 3129436964 3129436924

Other Providers KAREN WILSON

NPI Name Taxonomy Address Enumeration
1225654726 Karen Y Wilson Student in an Organized Health Care Education/Training Program The University of Tennessee Health Science Center, 920 Madison Ave., Memphis, TN 38163-4774 2020-06-19
1477954139 Karen Wilson Pharmacist 700 Dill Rd, Severna Park, MD 21146-4106 2014-09-11
1700290145 Karen Wilson Physical Therapist 8828 W Evening Star Ln, Boise, ID 83709-5306 2014-06-13
1659661759 Karen Kaye Wilson Occupational Therapy Assistant 2422 Cheyenne Ave, Pueblo, CO 81003-1433 2011-04-11
1760704423 Karen A Wilson Speech-Language Pathologist 1782 Curry Ave, Deltona, FL 32738-4180 2010-02-23
1629205950 Karen B Wilson Dentist 246 Canyon Lakes Pl, 246 Canyon Lakes Place, San Ramon, CA 94582-4917 2009-06-12
1245470012 Karen I Wilson Clinical Neuropsychologist 11340 W Olympic Blvd., Suite-250, Los Angeles, CA 90064 2009-03-05
1992912661 Karen Wilson Specialist 2003 Merlin Ave, Somerset, KY 42503-2520 2007-05-16
1427264100 Karen Perry Wilson Counselor 400 Washington St Ste 303, Braintree, MA 02184-4768 2007-05-16
1295959930 Karen Kahn Wilson Psychologist 15 Danbury Ave, Westport, CT 06880-6820 2007-04-12

Office Location

Street Address 3811 VALLEY CENTRE DR
City SAN DIEGO
State CA
Zip Code 92130

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154969905 Allegra Conway Nurse Practitioner 3811 Valley Centre Dr, San Diego, CA 92130-3318 2019-12-11
1174168553 Melissa Alice Mang Nurse Practitioner 3811 Valley Centre Dr, San Diego, CA 92130-3318 2019-11-09
1821576158 Kaitlyn Morrissey Nurse Practitioner 3811 Valley Centre Dr, San Diego, CA 92130-3318 2018-07-30
1487162053 Danielle Boward Dietitian, Registered 3811 Valley Centre Dr, San Diego, CA 92130-3318 2018-01-17
1053837187 Alison Cusmano Nurse Practitioner 3811 Valley Centre Dr, San Diego, CA 92130-3318 2017-08-21
1528508363 Elizabeth Hawk Nurse Practitioner 3811 Valley Centre Dr, San Diego, CA 92130-3318 2017-02-27
1790227452 Shawna Mellon Nurse Practitioner 3811 Valley Centre Dr, San Diego, CA 92130-3318 2016-11-12
1336523331 Allison Geissert Nurse Practitioner 3811 Valley Centre Dr, San Diego, CA 92130-3318 2015-07-20
1073992723 Jhanina Dioso Pediatrics 3811 Valley Centre Dr, San Diego, CA 92130 2015-05-28
1588051759 Jeffrey Woo Student in an Organized Health Care Education/Training Program 3811 Valley Centre Dr, San Diego, CA 92130-3318 2015-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629692397 Tlc Family Therapy Marriage & Family Therapist 5965 Village Way. Suite 105 #112, San Diego, CA 92130 2020-05-29
1447746169 Jack Perlov Psychiatry & Neurology 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 2018-07-05
1326551003 Theotokos, LLC Pharmacy 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 2017-11-16
1154879146 Halie Hommes Occupational Therapist 12250 El Camino Real Ste 250, San Diego, CA 92130 2016-09-19
1790232015 Coastal Skin and Eye Institute, Inc. Ophthalmology 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 2016-09-02
1720534951 Nosti and Rygg Dental Corporation Dentist 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 2016-08-28
1831644053 Marco Savittieri Dentist 3715 Ruette De Vl, San Diego, CA 92130 2016-08-17
1336508621 Discovery Practice Management, Inc Psychiatric Residential Treatment Facility 11455 Camino Real, Ste 360, San Diego, CA 92130 2016-02-16
1427434679 Coast Pediatrics Carmel Valley Pediatrics 5965 Village Drive, Suite 201, San Diego, CA 92130 2015-08-10
1659753762 T Sidal Dds Md Inc Dentist 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 2015-06-25
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548449564 Family Wellness Medical Corporation Pediatrics 3582 National Ave, Suite #2, San Diego, CA 92113-3157 2007-10-26
1548308109 Nguyen L Le Pediatrics 5507 El Cajon Blvd # B, San Diego, CA 92115-3624 2007-02-02
1366478398 Suzanne Mills Pediatrics 12395 El Camino Real Ste 217, San Diego, CA 92130-3084 2006-06-23
1134461569 Camille Angela Robinson Pediatrics 2051 Cushing Rd, San Diego, CA 92106 2013-03-24
1265401186 James Donald Coullahan Pediatrics 34800 Bob Wilson Dr, Nmcsd,attn:medical Staff Services, San Diego, CA 92134-1098 2006-03-14
1295706596 James J Chun Pediatrics 34800 Bob Wilson Dr, Nmcsd, Attn: Medical Staff Services, San Diego, CA 92134-1098 2006-01-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154986107 School Health Clinics of Santa Clara County Pediatrics 855 Lenzen Ave Rm 105, San Jose, CA 95126-2736 2019-05-06
1669927125 Irvine Doctors of Kids and Teens Pediatrics 4950 Barranca Pkwy Ste 306, Irvine, CA 92604-4631 2016-08-24
1043673270 Alexander S Golec Pediatrics 3333 California St Ste 245, San Francisco, CA 94118-6210 2016-04-04
1710360094 Jennifer Johnson, M.d., A Professional Corporation Pediatrics 366 San Miguel Dr Ste 209, Newport Beach, CA 92660-7810 2015-07-03
1902290448 Brittany Kathleen Badal Pediatrics 2330 Post St Ste 219, San Francisco, CA 94115-3465 2015-03-23
1750770608 Ighia Aintablian Md A Professional Corporation Pediatrics 1510 S Central Ave Ste 450, Glendale, CA 91204-2510 2015-01-15
1184035032 Carlos Beharie M.d. Medical Group, Inc. Pediatrics 4160 N. Maine Ave, Suite B1, B2, B3, Baldwin Park, CA 91706-3304 2014-05-14
1164859385 Pediatric Adolescent Clinic Pediatrics 1214 Adriana Way, Upland, CA 91784-1742 2013-10-02
1578804084 Eleanor S. Blatt Pediatrics 212 20th St, Huntington Beach, CA 92648-3914 2013-03-07
1053676619 Gladys Hope Dadivas Yerro Pediatrics 14555 Hamlin St Ste 108, Van Nuys, CA 91411-1617 2012-07-10
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Competitor

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City SAN DIEGO
Zip Code 92130

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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